| NPI | 1811548316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BETH MANGAN Owner/President 859-869-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 221700000X Art Therapist | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2024-02-06 |